Geriatric evaluation and management (GEM)

Geriatric evaluation and management (GEM) is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs, associated with age related medical conditions. Some examples of conditions in GEM care patients include a tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems.

GEM care is always:

  • delivered under the management of or informed by a clinician with specialised expertise in GEM care, and
  • evidenced by an individualised multidisciplinary management plan which is documented in the patient's medical record. The plan must cover the physical, psychological, emotional and social needs of the patient, as well as include negotiated goals within indicative time frames and formal assessment of functional ability.

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